11/21/19

Don't be a Heifer

Richard Wallich


     Don't be a Heifer 

11/21/19 1:54 AM

My mom & I went on a road trip that had Yellowstone National Park as one of its pit stops. We stayed in a tiny cabin  about half an hour way in Montana. The view was breath-taking. Our neighbors were a herd of about 20 cows who  grazed freely, to a point. Around dusk, one cow would stand in a certain position, & all the other cows would line up  behind her. In almost a single file line, every single cow on the property would follow this one cow off into the abyss  until the next morning. It was bizarre to me; I had no idea cows behaved that way in the absence of human direction  (though they may have been trained). Whatever the purpose may be, not one, single cow went rogue & wandered off  any of the evenings my mom & me watched them. Not. One. Cow. 






I have always found the way people tend to similarly behave in group settings fascinating, not in a good way, but in a  disturbing, frightening way. It scares me how quickly people are willing to set their morals & values aside to conform to  group standards, whatever those standards may be. The danger comes when a group leader, whether formal or  informal, is of questionable character or is in charge more because of their desire for power & control than their innate  leadership abilities. Manipulative behavior accompanies the desire for power & control as a means to an end. Let me  give you one of the most disturbing examples I've experienced to paint a clearer picture. 

I was selected for a jury once, & the trial involved a man charged with raping an adolescent girl. Upon starting  deliberation, this one guy kinda hijacked the conversation, insisting that the evidence wasn't there, & the lack of DNA  evidence was particularly important. This was what he sold & the rest of the jury bought, despite clear direction from  the prosecution & judge that DNA evidence was NOT necessary to convict. There was also a perfectly good explanation  for this missing piece; there was a substantial delay in getting the victim to a provider to be examined. Even though the  vast majority of the jury acknowledged that they felt sure he did it, he was found NOT guilty by 11:1. You can bet I was  the lone juror, & you can bet I caught lip from the guy who persuaded the rest of the jury to vote his way. 

And let’s not forget the Jonestown Massacre that gave us the adage, “Don’t drink the koolaid”. Until the September 11th attacks, the tragedy in Jonestown on November 18th, 1978 represented the largest number of American civilian casualties in a single non-natural event. It is unfathomable now, as it was then, that more than 900 Americans – members of a San Francisco-based religious group called the Peoples Temple – died after drinking poison at the urging of their leader, the Reverend Jim Jones”. Rolling Stone Magazine

BBC.com - Jonestown Massacre

Jim Jones Cult Video - Rolling Stone

Here's another small example. It was the year 2000 on Columbus Day, & I was sitting in my Philosophy & Methods of  Political Science course waiting for class to start. I started running my mouth about how ridiculous it was that a man who  mutilated, murdered, & enslaved Natives was honored with his own federal holiday. Another student in the class  defended him by stating that it was socially acceptable to do that during that period in history, & that made it okay. The  professor made his way in the classroom, so that's where the discussion ended. I wish it hadn't ended. I was at a  conservative Southern Baptist college surrounded by Fundamentalist Christians. I wanted to ask him if, since attacking &  killing Jesus was socially acceptable at the point in history when he was thought to have lived, did that make it ok?  

Let me be clear. I feel strongly that social conformity is not always the way to go (that's really my point), but I have no  idea how to go about thinking/acting independently safely or how to decide that conforming would require too much of  a deviation from the morals & values I at least TRY to live by. I have always marched to the beat of my own drum. It  worked for me growing up; some people actually think it's cute or charming when you're young. As an adult, however,  these same personality characteristics come across as strange, awkward, & obnoxious. I wouldn't really care except for  the fact that, in recent years, it has resulted in me being an easy target for that manipulative, power-hungry narcissist at  work & in social settings. Whether out of fear or ignorance, people tend to follow their lead in giving me hell. It's not to  say I didn't earn it. Instead of trying to fly under the radar or do what it takes to get along with this informal head of the  herd, I tend to, metaphorically speaking, give them the middle finger by giving them no reason to believe I approve of  their behavior or would follow their lead. Stupid strategy. It causes chaos, bitterness, & failure in your relationships &  career. You have to find a way to coexist sometimes because not every cringe-worthy move they make should make you  feel compelled to stand your ground; it needs to be a worthy cause. Looking the other way or trying to keep the peace in  my life would have been in everyone's best interest at times.  

For other people in history, the choice to blindly follow led to the decimation of 6 million Jews or the capture &  enslavement of African Americans for centuries. I guess the only thought I can conclude with is that you do need to  choose your battles, but don't be the heifer who compromises your values when it really counts. Being a follower can be  horrifyingly disastrous for humanity in general. "If the blind lead the blind, they shall both fall into the ditch". -Matthew 15:14. We all need to be courageous when it counts. 

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11/1/19

'Karma's A B*tch' - An Overused Cliché & Fallacy



     I was in a village on the outskirts of Lagos, Nigeria last week, & I stumbled upon a child who was emaciated from malnourishment. To make matters worse, this 3 year old had HIV, malaria, & disseminated tuberculosis. His death was imminent because he acquired a diarrheal illness from contaminated drinking water. He couldn't afford healthcare because he was one of the > 1 billion people on this earth living on < $1 a day. I realized the 3 year old must be a terrible person, & I asked him what terrible things he did to deserve this fate, since, after all, “karma's a bitch”.


     None of that actually happened. Do circumstances like this run rampant in Sub-Saharan Africa & other developing parts of the world? Absolutely. That tall tale I just told should illustrate the absurdity with which we cling to the idea that the universe is at work to make life fair & ensure everyone gets what they deserve in the end, whether good or bad.
https://www.karmaandluck.com/

     Whether you're on the cover of Forbes Magazine posing as CEO of a multi-billion dollar corporation or sleeping on a park bench & panhandling, we all experience pain & suffering. It is part of the human condition & an inevitable part of our existence. Whether you live a pure life filled with good deeds or a life spent making others miserable, your encounter with the pain of existence is inevitable. Pain & suffering are not evenly distributed, & the source of it varies drastically from one human being to another.

     My biggest problem with religious concepts like karma or the threat of damnation to hell eternally is that we should see the intrinsic value of being a positive presence in the world regardless of whether or not we will be rewarded or punished for how we choose to behave. Fear should not fuel your desire to be a decent human being. Somewhat analogous is our motivation to apologize. If I tell you I'm sorry because I have a conscience, experience guilt, & regret whatever I did to you, this apology has value & meaning. If I apologize because I'm scared of what will happen to me if I don't apologize, that apology is empty & frivolous.
     If I had a dime for every time I heard the cliché, "karma's a bitch", I could probably hit the town & enjoy some fine dining. The truth is that the concept is ridiculous, & the cliché is overused. It's like nails on a chalkboard every time I hear it. Not yet mentioned is the delusional mindset that the universe has the goal of settling the score with anyone who wrongs you. It's almost narcissistic to think the universe cares so much about us that our enemies are doomed to suffer.
     Karma & eternal damnation should not be what keeps you in line & motivates you to live a life marked by virtues like generosity, compassion, honesty, & integrity. Choose such a path because of the notion that we all experience pain & suffering, & this provokes empathy toward fellow man & the desire to minimize the bad in our own lives & others. That fictional 3 year old child I introduced needs us to have this insight & consideration for others, just as the very real people on earth, in similar circumstances, need us to offer an authentic, selfless helping hand to survive & eventually thrive.
     Our existence as humans on this earth will improve when we stop expecting the universe to make life fair & take ownership of our ability to make life better for our fellow man & ourselves. The universe is as aloof & idle
as it has always been in determining our fate. "Karma's a bitch"? I challenge you to abandon this cliché, not just because hearing it annoys me to no end. Abandoning the notion will empower us to take positive action.

NOTE: I am referring to the term “karma” from the 
SECULAR use of the term only.
Photo: economictimes.indiatimes.com

10/4/19

HIPAA - Not a Semi-Aquatic Mammal


It was the year 2003. What do you remember about that year? In Da Club by 50 cent topped the charts. Women spent all day pulling up their super low-rise jeans. George W. Bush was literally on the warpath. Sound familiar? The Health Insurance Portability and Accountability Act (HIPAA) of 1996 came to be enforced as a federal law that year, but I doubt that is a memory etched in your brain. Almost 2 decades later, many healthcare providers still don’t understand the law and/or take the law seriously.

Photo Getty Images mtv.com

     

Photo Rex Features telegraph.co.uk





What is
 HIPAA
? As alluded to in the title, it’s not an zoo animal, but a law protecting a patient's right to access & privacy with regard to their protected health information (PHI). It sets rules/regs for covered entities & providers to prevent & mitigate ePHI breaches or "secure" ePHI. See video below:





PATIENTS: Arm yourselves with knowledge on your rights under HIPAA. Hold providers
 accountable. You can file a complaint with the Office of Civil Rights, Health and Human Services (OCR HHS) on-line, by phone, or by mail if your rights are violated. Civil litigation is only an option in some states under state laws. Some cases are referred from the OCR to the Department of Justice for criminal conviction

COVERED ENTITIES: Provide adequate, ongoing training to employees & business associates responsible for handling PHI. Have policies and procedures aimed to prevent  and mitigate data breaches

PROVIDERS: Doctors, mid-levels, nurses, allied health professionals, and ancillary staff: You are responsible for knowing how to do your job legally. Pleading ignorance after an unauthorized disclosure, etc. is NOT acceptable. If you’re unclear on HIPAA rules and regulations, reach out to your employer to request information and/or additional training or peruse the OCR HHS website. Any disclosure of a patient's PHI by a healthcare provider must be for the purpose of treatment, & at least 1 of the 3 circumstances permit PHI disclosure for "treatment purposes" (45 CFR § 164.506):

  1. provision, coordination or management of healthcare & related services
  2. consultation between healthcare providers
  3. referral of a patient from 1 healthcare provider to another
It should also be noted that a provider does NOT have the right to access a patient's PHI except for these specific purposes.

BOTTOM LINE: We have had nearly 2 decades to get familiar with HIPAA at this point. There’s no excuse for the lack of accountability that still goes on in healthcare, & being careless with PHI may have consequences that are detrimental to the well-being of the patient, provider,& pertinent organizations. I personally think that, if civil litigation is not an option at the federal level, then the penalties/fines collected by by the OCR HHS for violations should be partially reallocated to the victims, particularly if damages are clearly present as a consequence. This would motivate patients to hold covered entities accountable and increase compliance in the long run.

Like the HIPPO, the HIPAA rules and regulations can pose danger if not properly understood and respected. Don’t find yourself ignorant to the threat it may pose to patients whose rights are NOT respected and covered entities who face penalties and additional requirements when HIPAA must be enforced
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